ROLAND WILLIBY JR MD Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001533

License Status

CANCELLED

Business

Title

First Name

ROLAND

Last Name

WILLIBY

Suffix

Business Name

ROLAND WILLIBY JR MD

Original Issue Date

12/13/2000

Effective Date

12/13/2000

Expiration Date

03/01/2008

City

HANOVER PARK

State

Zip

60133

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/21/2017